Individual
JENNA ITEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1211 MEDICAL CENTER DR, NASHVILLE, TN 37232-0004
(615) 322-5000
Mailing address
304 OLIVER WAY, BAXTER, TN 38544-2403
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
270214
TN
Other
Enumeration date
11/02/2023
Last updated
11/02/2023
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